Preliminary outcomes of primary phacoemulsification plus intraocular lens implantation for primary angle-closure glaucoma

• Hata Hiroko

  Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School

• Yamane Shinta

  Yamane Eye Clinic

• Hata So

  Hata Eye Clinic

• Shiota Hiroshi

  Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School

抄録

Purpose: To evaluate effects and safety of primary phacoemulsification plus intraocular lens implantation for controlled chronic angle-closure glaucoma (CACG) or primary angle-closure (PAC). Design: Prospective, non-randomized comparative trial. Methods: Two treatment groups were used. The IOL group included the use of phacoemulsification plus intraocular lens (IOL) implantation in 27 eyes. The LI group included treatment by laser iridotomy (LI) in 23 eyes. Intraocular pressure (IOP), numbers of anti-glaucoma medications, complications, and corneal endothelial cell counts were examined in each group. Results: In the IOL group, IOP was significantly reduced from a preoperative mean of 14.8 ± 4.2 mmHg to a 6-month-postoperative mean of 10.8 ± 1.6 mmHg (P < .05). However, in the LI group, mean preoperative IOP was 15.5 ± 4.1 mmHg, and the 6-month-postoperative IOP was 14.7 ± 4.7 mmHg (P = .76). In the IOL group, no patient used anti-glaucoma medications 6-month postoperatively, whereas in the LI group, mean number of anti-glaucoma medications was 0.2 ± 0.4 (P < .05). There were no significant differences in preoperative and postoperative corneal endothelial cell counts between IOL and LI groups (P = .39). Conclusions: Primary phacoemulsification plus intraocular lens implantation for controlled CACG or PAC seems to be a safe and effective method in reducing IOP. This procedure might become the first treatment of choice for controlled CACG or PAC with cataract. J. Med. Invest. 55: 287-291, August, 2008

収録刊行物

• The Journal of Medical Investigation

  The Journal of Medical Investigation 55 (3,4), 287-291, 2008

  国立大学法人　徳島大学医学部

キーワード

• primary phacoemulsification
• chronic angle-closure glaucoma
• primary angle-closure
• cataract
• laser iridotomy

詳細情報

• CRID: 1390001204245082752
• NII論文ID: 130004465155
• NII論文ID: 80019807381
• NII書誌ID: AA11166929
• DOI: 10.2152/jmi.55.287
• ISSN: 13496867
• ISSN: 13431420
• Web Site: http://www.jstage.jst.go.jp/article/jmi/55/3,4/55_3,4_287/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009120641
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可